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Planning change in scheduling practices: a theoretical perspective.

M Comack, S D Smith, A Bowman

    Canadian Journal of Nursing Administration
    |March 1, 1991
    PubMed
    Summary
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    Innovative scheduling practices, including self-designed rotations and self-scheduling, were implemented in nursing groups to improve quality of working life. These changes utilized Lewin

    Area of Science:

    • Healthcare Management
    • Organizational Psychology
    • Nursing Administration

    Background:

    • The contemporary healthcare landscape demands innovative organizational structures and management approaches.
    • Nursing staff prioritize quality of working life, with flexible scheduling being a key concern for work-life balance.

    Purpose of the Study:

    • To apply change theory in implementing novel scheduling practices for nursing staff.
    • To explore the effectiveness of participative management in enhancing scheduling flexibility and job satisfaction.

    Main Methods:

    • Utilized Lewin's change theory phases to guide the implementation process.
    • Employed needs assessment surveys to identify staff requirements.
    • Facilitated staff involvement in the design, implementation, and evaluation of new scheduling systems.

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  • Encouraged group responsibility for the change process and outcomes.

    • Main Results:

    • Successfully implemented self-designed master rotation and self-scheduling processes in four nursing groups.
    • Demonstrated the practical application of participative management strategies in healthcare settings.
    • Showcased the integration of change theory principles in operationalizing new work practices.

    Conclusions:

    • Participative management approaches, guided by change theory, can effectively operationalize innovative scheduling practices in nursing.
    • Flexible scheduling systems are crucial for improving the quality of working life for nursing professionals.
    • Empowering nursing staff in decision-making processes related to scheduling fosters ownership and positive outcomes.